<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>ACCOUNTS PAYABLE DATA ENTRY FORM</title>
<link rel="stylesheet" type="text/css" href="view.css" media="all">
<script type="text/javascript" src="view.js"></script>

</head>
<body id="main_body" >
	
	<img id="top" src="top.png" alt="">
	<div id="form_container">
	
		<h1><a>ACCOUNTS PAYABLE DATA ENTRY FORM</a></h1>
		<form id="form_426839" class="appnitro"  method="post" action="/nbkword/accounts_payable.php">
					<div class="form_description">
			<h2>ACCOUNTS PAYABLE DATA ENTRY FORM</h2>
			<p>Enter the Details Below to Generate the Accounts Payable Document.</p>
		</div>						
			<ul >
			
					<li id="li_1" >
		<label class="description" for="element_1">Vendor Name </label>
		<div>
			<input id="element_1" name="vendor_name" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_2" >
		<label class="description" for="element_2">Invoice Number </label>
		<div>
			<input id="element_2" name="invoice_number" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_3" >
		<label class="description" for="element_3">Vendor Number </label>
		<div>
			<input id="element_3" name="vendor_number" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_4" >
		<label class="description" for="element_4">Amount Payable </label>
		<div>
			<input id="element_4" name="amount_curr" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_5" >
		<label class="description" for="element_5">Quantity Received </label>
		<div>
			<input id="element_5" name="quantity_received" class="element text large" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_6" >
		<label class="description" for="element_6">Purchase Order Number </label>
		<div>
			<input id="element_6" name="po_num" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_10" >
		<label class="description" for="element_10">Fund </label>
		<div>
		<select class="element select medium" id="element_10" name="fund"> 
			<option value="" selected="selected"></option>
<option value="30000" >30000</option>
<option value="54050" >54050</option>
<option value="30079" >30079</option>
<option value="14000" >14000</option>

		</select>
		</div> 
		</li>		<li id="li_7" >
		<label class="description" for="element_7">Account </label>
		<div>
		<select class="element select medium" id="element_7" name="account"> 
			<option value="" selected="selected"></option>
<option value="72605" >72605</option>
<option value="74605" >74605</option>

		</select>
		</div> 
		</li>		<li id="li_8" >
		<label class="description" for="element_8">Project Activity </label>
		<div>
		<select class="element select medium" id="element_8" name="project_activity"> 
			<option value="" selected="selected"></option>
<option value="OUTCOME1" >OUTCOME1</option>
<option value="OUTCOME2" >OUTCOME2</option>
<option value="OUTCOME3" >OUTCOME3</option>
<option value="OUTCOME4" >OUTCOME4</option>
<option value="OUTCOME5" >OUTCOME5</option>
<option value="OUTCOME6" >OUTCOME6</option>

		</select>
		</div> 
		</li>		<li id="li_9" >
		<label class="description" for="element_9">Donor </label>
		<div>
		<select class="element select medium" id="element_9" name="donor"> 
			<option value="" selected="selected"></option>
<option value="00012" >00012</option>
<option value="00280" >00280</option>
<option value="00555" >00555</option>
<option value="00182" >00182</option>
<option value="00187" >00187</option>

		</select>
		</div> 
		</li>
			
					<li class="buttons">
			    <input type="hidden" name="form_id" value="426839" />
			    
				<input id="saveForm" class="button_text" type="submit" name="submit" value="Generate Document" />
		</li>
			</ul>
		</form>	
		<div id="footer">
			Generated by <a href="http://www.phpform.org">pForm</a>
		</div>
	</div>
	<img id="bottom" src="bottom.png" alt="">
	
	<iframe width="425" height="350" frameborder="0" scrolling="no" marginheight="0" marginwidth="0" src="https://maps.google.com/maps?f=q&amp;source=s_q&amp;hl=en&amp;geocode=&amp;q=Kenya&amp;aq=&amp;sll=-4.030885,39.599104&amp;sspn=0.023245,0.042272&amp;ie=UTF8&amp;hq=&amp;hnear=Kenya&amp;ll=-0.023559,37.906193&amp;spn=11.909627,21.643066&amp;t=m&amp;z=6&amp;output=embed"></iframe><br /><small>View <a href="https://maps.google.com/maps?f=q&amp;source=embed&amp;hl=en&amp;geocode=&amp;q=Kenya&amp;aq=&amp;sll=-4.030885,39.599104&amp;sspn=0.023245,0.042272&amp;ie=UTF8&amp;hq=&amp;hnear=Kenya&amp;ll=-0.023559,37.906193&amp;spn=11.909627,21.643066&amp;t=m&amp;z=6" style="color:#0000FF;text-align:left">National Bank Of Kenya Branch Network</a> in a larger map</small>
	</body>
</html>